﻿@using System.Collections;
@{
    int stt = int.Parse(Request["stt"]);
    string hid = Request["hid"];
    string hcode = Request["hcode"];
    int intPage = stt * 3 + 1;
}
@foreach (Hashtable resident in ViewBag.Resident)
{
    ++stt;
    string sttt = stt.ToString();
    if (hid != "-1"){
        <p style="page-break-after:always;"></p>
        <p style="padding-top:50px;"></p>
    }

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0
           style='border-collapse:collapse;border:none; width:100%;'>
        <tr>
            <td width=340 valign=top style='width:254.85pt;border:dotted windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  3.0pt;margin-left:0in;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>
                            HỘ ĐIỀU TRA SỐ: @hcode
                        </span>
                    </b>
                </p>
            </td>
            <td width=340 valign=top style='width:254.9pt;border:dotted windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:right;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>
                            @{
                                    if (hid == "-1"){sttt = "..........";}
                                    else if (stt < 10) { sttt = "00" + sttt; }
                                    else if (stt < 100) { sttt = "0" + sttt; }
                            }
                            CÔNG DÂN SỐ: @sttt
                        </span>
                    </b>
                </p>
            </td>
        </tr>
    </table>

    if (stt == 1)
    {
        <p class=MsoNormal><span style='font-size:3.0pt;line-height:107%'>&nbsp;</span></p>

        <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0
               style='border-collapse:collapse;border:none;width:100%;'>
            <tr>
                <td valign=top style='width:100%;border:solid windowtext 1.0pt;
  background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt'>
                    <p class=MsoListParagraph align=center style='margin-top:3.0pt;margin-right:
  0in;margin-bottom:3.0pt;margin-left:.5in;text-align:center;text-indent:-.25in;
  line-height:normal'>
                        <b>
                            <span style='font-size:12.0pt;font-family:"Arial","sans-serif"'>
                                B.<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;</span>
                            </span>
                        </b><b>
                            <span style='font-size:12.0pt;font-family:"Arial","sans-serif"'>
                                THÔNG TIN THÀNH
                                VIÊN TRONG HỘ
                            </span>
                        </b>
                    </p>
                </td>
            </tr>
        </table>
    }

    <p class=MsoNormal><span style='font-size:3.0pt;line-height:107%'>&nbsp;</span></p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0 style='width:100.0%;border-collapse:collapse;border:none'>
        <tr style='height:.15in'>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt;height:.15in'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <b>
                        <span style='font-size:4.0pt;line-height:120%;
  font-family:"Arial","sans-serif"'>&nbsp;</span>
                    </b>
                </p>
            </td>
            <td width="94%" colspan=4 valign=top style='width:94.36%;border:solid windowtext 1.0pt;
  border-left:none;background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt;height:.15in'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            THÔNG
                            TIN CƯ DÂN
                        </span>
                    </b>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border-top:none;border-left:
  solid windowtext 1.0pt;border-bottom:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>1.</span>
                </p>
            </td>
            <td width="23%" rowspan=2 valign=top style='width:23.6%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Họ tên thành viên hộ (Bắt đầu từ chủ hộ)
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        HỌ: <b>@resident["LAST_NAME"]</b>      TÊN ĐỆM: <b>@resident["MIDDLE_NAME"]</b>       TÊN: <b>@resident["FIRST_NAME"]</b>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:19.0pt'>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:19.0pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:19.0pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh
                        sửa]……………………………………………………………….............
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>2.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quan hệ với chủ hộ
                    </span>
                </p>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>[Chỉnh sửa]</span>
                </p>
            </td>
            <td width="35%" valign=top style='width:35.38%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            Chủ hộ
                        </span>
                    </b>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Chủ hộ........................... 1 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Vợ/chồng...................... 2 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Con đẻ........................... 3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="35%" colspan=2 valign=top style='width:35.38%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Cháu nội/ngoại….. ........... 4 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Bố/mẹ.............................. 5 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quan hệ khác…. ..............6 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>3.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Hiện trạng của cư dân
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        Mất tích…. 1 <span style='font-family:"MS Gothic"'>☐</span>        Đã chết…. 2 <span style='font-family:"MS Gothic"'>☐</span>           Đã chuyển đi…. 3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin:0px 0px 0px 0px;'>
                    <img style="margin-bottom:7px; margin-left:22px;" width=45 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image005.png")" />
                    <img style="margin-bottom:11px; margin-left:-10px;" width=26 height=22 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image004.png")" />
                    <img style="margin-bottom:4px; margin-left:55px;" width=63 height=29 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image006.png")" />
                    <img style="margin-bottom:0px; margin-left:35px;" width=125 height=33 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image003.png")" />
                ></p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>4.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Giới tính cư dân
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <i>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            <b>@resident["GENDER_NAME"]</b>
                        </span>
                    </i><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh
                        sửa]  NAM … 1 <span style='font-family:"MS Gothic"'>☐</span>      NỮ … 2 <span style='font-family:"MS Gothic"'>☐</span>     KXĐ … 3 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border-top:none;border-left:
  solid windowtext 1.0pt;border-bottom:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>5.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày sinh dương lịch
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        @{
                            string residentBT = resident["DATE_OF_BIRTH"].ToString();
                            string residentYear = "";
                            string residentMonth = "";
                            string residentDay = "";
                            if (residentBT.Length == 8)
                            {
                                residentYear = residentBT.Substring(0, 4);
                                residentMonth = residentBT.Substring(4, 2);
                                residentDay = residentBT.Substring(6, 2);
                            }
                        }
                        NGÀY: <b>@residentDay</b>     THÁNG: <b>@residentMonth</b>           NĂM:  <b>@residentYear</b>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.1pt'>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:16.1pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.1pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>[Chỉnh sửa]</span>
                </p>
            </td>
            <td width="44%" colspan=2 valign=top style='width:44.44%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.1pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày __ __ Tháng __ __ Năm __ __ __ __
                    </span>
                </p>
            </td>
            <td width="26%" valign=top style='width:26.32%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.1pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Năm âm: …………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        KXĐ … 3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border-top:none;border-left:
  solid windowtext 1.0pt;border-bottom:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>6.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        a. Nơi đăng ký khai sinh
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        @{
                            string dkksTinh = "---";
                            string dkksHuyen = "---";
                            string dkksXa = "---";
                            if (resident["RPOB_ADM_UNIT_NAME"] != null)
                            {
                                string[] dkks = resident["RPOB_ADM_UNIT_NAME"].ToString().ToUpper().Split(';');
                                if (dkks.Length > 0) { dkksTinh = dkks[0]; }
                                if (dkks.Length > 1) { dkksHuyen = dkks[1]; }
                                if (dkks.Length > 2) { dkksXa = dkks[2]; }
                            }

                        }
                        XÃ: <b>@dkksXa </b>     HUYỆN: <b>@dkksHuyen</b>     TỈNH: <b>@dkksTinh</b>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh sửa] Xã: …………..Huyện: ………………….Tỉnh: ……………………
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        b. Nơi sinh
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        c. Giấy khai sinh
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>………………………………………………………………………………….......</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số:……….Quyển: ………. Ngày__ __Tháng__ __ Năm __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>7.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quê quán
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Xã:……………..Huyện: …………………………..Tỉnh: …………...................
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>8.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân tộc
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <i>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            <b>
                                <span style='font-style:normal'>@resident["ETHNIC_NAME"]</span>
                            </b>
                        </span>
                    </i><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh sửa] Tên dân tộc: …………………………..............
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>9.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Tôn giáo
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Không
                        tôn giáo … 01 <span style='font-family:"MS Gothic"'>☐</span>           Tên
                        tôn giáo: ………………………………….
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>10.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quốc tịch
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <i>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            <b>
                                <span style='font-style:normal'>@resident["COUNTRY_NAME"]</span>
                            </b>
                        </span>
                    </i><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh sửa] Tên quốc tịch: …………………………………..
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" rowspan=2 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>11.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Thông tin giấy CMND
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số CMND: <b>@resident["IDCARD_NUM"]</b>

                        @{
    string cmndBT = resident["DATE_OF_BIRTH"].ToString();
    string cmndYear = "---";
    string cmndMonth = "---";
    string cmndDay = "---";
    if (cmndBT.Length == 8)
    {
        cmndYear = cmndBT.Substring(0, 4);
        cmndMonth = cmndBT.Substring(4, 2);
        cmndDay = cmndBT.Substring(6, 2);
    }
                        }
                        Ngày cấp: <b>@cmndDay/@cmndMonth/@cmndYear</b>
                        Nơi cấp: <b>@resident["IDCARD_ISSUER_NAME"]</b>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>[Chỉnh sửa]</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:7.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CÁC CHỮ VIẾT TẮT
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:8.3pt;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:6.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CMND – CHỨNG MINH NHÂN DÂN
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số CMND: __ __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày cấp __ __ Tháng cấp __ __ Năm cấp __ __ __ __
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nơi cấp: …………………………………………………………………………….
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:47.7pt'>
            <td width="5%" rowspan=3 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:47.7pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>12.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:47.7pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        a. Địa chỉ thường trú
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:47.7pt'>
                <table cellpadding="0" cellspacing="0">
                    <tr>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                Giống địa chỉ hộ … 1 <span style='font-family:"MS Gothic"'>☐</span>
                            </span>
                        </td>
                        <td><img width=64 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image007.png")" /></td>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Khác địa chỉ hộ nhà …2<span style='font-family:"MS Gothic"'>☐</span></span>
                        </td>
                        <td><img width=104 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image008.png")"></td>
                    </tr>
                </table>

                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>………………………………………………………………………………............</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Xã:
                        ……………..Huyện: …………………………..Tỉnh: …………...................
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:65.05pt'>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:65.05pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        b.Thông tin sổ hộ khẩu thường trú
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:65.05pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số sổ hộ khẩu: ……………….Ngày cấp _ _ Tháng cấp _ _ Năm cấp _ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày chuyển đến hộ: Ngày _ _ Tháng _ _ Năm _ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nơi thường trú trước khi chuyển đến:
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Xã: ……………….Huyện: ………………..…………….Tỉnh: …………............
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:75.65pt'>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:75.65pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        c.
                        Thông tin chủ hộ trong sổ hộ khẩu
                    </span>
                </p>
            </td>
            <td width="70%" colspan=3 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:75.65pt'>

                <table cellpadding="0" cellspacing="0">
                    <tr>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                Là chủ hộ dân cư ... 1 <span style='font-family:"MS Gothic"'>☐</span>
                            </span>
                        </td>
                        <td><img width=63 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image010.png")" /></td>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Khác chủ hộ dân cư ... 2<span style='font-family:"MS Gothic"'>☐</span></span>
                        </td>
                        <td><img width=103 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image009.png")"></td>
                    </tr>
                </table>


                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Tên
                        chủ hộ: ……………………………………………………
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        sinh chủ hộ _ _ Tháng sinh _ _ Năm sinh _ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân
                        tộc chủ hộ:    Kinh …. 1<span style='font-family:"MS Gothic"'>☐</span>
                        Dân tộc khác: ……………………………
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:4.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        CMND chủ hộ: __ __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        
    </table>
    <p style="text-align:right;">@{++intPage;} Trang @intPage</p>
    
    <p style="page-break-after:always;"></p>
    <p style="padding-top:20px;"></p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0
           style='border-collapse:collapse;border:none; width:100%; display:none;'>
        <tr>
            <td width=340 valign=top style='width:254.85pt;border:dotted windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  3.0pt;margin-left:0in;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>
                            HỘ ĐIỀU TRA SỐ: @hcode
                        </span>
                    </b>
                </p>
            </td>
            <td width=340 valign=top style='width:254.9pt;border:dotted windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:right;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>CÔNG DÂN SỐ: @sttt</span>
                    </b>
                </p>
            </td>
        </tr>
    </table>

    <p class=MsoNormal><span style='font-size:2.0pt;line-height:107%; display:none;'>&nbsp;</span></p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0 width="100%"
           style='width:100.0%;border-collapse:collapse;border:none'>
        <tr style='height:.15in'>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt;height:.15in'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <b>
                        <span style='font-size:4.0pt;line-height:120%;
  font-family:"Arial","sans-serif"'>&nbsp;</span>
                    </b>
                </p>
            </td>
            <td width="94%" colspan=8 valign=top style='width:94.36%;border:solid windowtext 1.0pt;
  border-left:none;background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt;height:.15in'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>THÔNG TIN CƯ DÂN</span>
                    </b><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'></span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>13.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nơi
                        ở hiện tại
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>

                    <table cellpadding="0" cellspacing="0">
                        <tr>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                    Giống địa chỉ thường trú …1 <span style='font-family:"MS Gothic"'>☐</span>
                                </span>
                            </td>
                            <td><img width=59 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image012.png")" /></td>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Khác địa chỉ …2<span style='font-family:"MS Gothic"'>☐</span></span>
                            </td>
                            <td><img width=106 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image011.png")"></td>
                        </tr>
                    </table>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>…………………………………………………………………………………........</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Xã:
                        ………………..….Huyện: ………………..…….Tỉnh: …………..................
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:49.3pt'>
            <td width="5%" valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:49.3pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>14.</span>
                </p>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:49.3pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Thông
                        tin hộ chiếu
                    </span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:49.3pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Loại
                        hộ chiếu: Phổ thông … 1 <span style='font-family:"MS Gothic"'>☐</span>
                        Công vụ … 2 <span style='font-family:"MS Gothic"'>☐</span>       Ngoại giao …
                        3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        cấp hộ chiếu: Ngày cấp _ _ Tháng cấp _ _ Năm cấp _ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nơi
                        cấp hộ chiếu: …………………………………………………………………
                    </span>
                </p>
            </td>
        </tr>

        <tr style='height:16.35pt'>
            <td width="5%" rowspan=4 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>15.</span>
                </p>
            </td>
            <td width="23%" rowspan=4 valign=top style='width:23.6%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Trình
                        độ học vấn
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:7.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CÁC
                        CHỮ VIẾT TẮT
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:8.3pt;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:6.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        THCS
                        - TRUNG HỌC CƠ SỞ
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:8.3pt;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:6.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        THPT
                        - TRUNG HỌC PHỔ THÔNG
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:8.3pt;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:6.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CN
                        - CHUYÊN NGHIỆP
                    </span>
                </p>
            </td>
            <td width="16%" valign=top style='width:16.64%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Mầm non ……..</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        1 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>THPT ……………</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        5 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Cao đẳng…</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        9 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="16%" valign=top style='width:16.64%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Tiểu học ………</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        2 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Trung cấp nghề…</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        6 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Đại học……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        10 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="16%" valign=top style='width:16.64%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>THCS …………</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        3 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Trung cấp CN…..</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        7 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Thạc sỹ……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        11 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="16%" valign=top style='width:16.64%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Sơ cấp nghề …</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;border-bottom:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        4 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Cao đẳng nghề….</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;border-bottom:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        8 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Tiến sỹ……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        12 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="5%" rowspan=3 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>16.</span>
                </p>
            </td>
            <td width="23%" rowspan=3 valign=top style='width:23.6%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Trình độ chuyên môn kỹ thuật
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:7.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CÁC CHỮ VIẾT TẮT
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:8.3pt;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:6.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        CN - CHUYÊN NGHIỆP
                    </span>
                </p>
            </td>
            <td width="16%" valign=top style='width:16.64%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Chưa đào tạo ..</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        1 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Trung cấp CN…..</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        5 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Đại học……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        9 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="16%" valign=top style='width:16.64%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Sơ cấp nghề …</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        2 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Cao đẳng nghề …</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        6 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;padding:0in 5.4pt 0in 5.4pt;
  height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Thạc sỹ……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        10 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:16.35pt'>
            <td width="16%" valign=top style='width:16.64%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Trung cấp nghề</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;border-bottom:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        3 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="18%" colspan=2 valign=top style='width:18.08%;border:none;
  border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Cao đẳng………..</span>
                </p>
            </td>
            <td width="6%" valign=top style='width:6.94%;border:none;border-bottom:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        7 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="13%" valign=top style='width:13.88%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Tiến sỹ……</span>
                </p>
            </td>
            <td width="8%" valign=top style='width:8.28%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:16.35pt'>
                <p class=MsoNormal style='margin-top:2.0pt;margin-right:0in;margin-bottom:
  2.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        11 <span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" rowspan=2 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>17.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        a.Tình
                        trạng việc làm
                    </span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>

                    <table cellpadding="0" cellspacing="0">
                        <tr>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                    Chưa đến tuổi đi làm .. 1<span style='font-family:"MS Gothic"'>☐</span>
                                </span>
                            </td>
                            <td><img width=66 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image013.png")" /></td>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>KXĐ ………………3<span style='font-family:"MS Gothic"'>☐</span></span>
                            </td>
                            <td><img width=63 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image014.png")"></td>
                        </tr>

                        <tr>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                    Đang thất nghiệp ……. 2<span style='font-family:"MS Gothic"'>☐</span>
                                </span>
                            </td>
                            <td><img width=63 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image014.png")" /></td>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Đang đi làm ……...4<span style='font-family:"MS Gothic"'>☐</span></span>
                            </td>
                            <td><img width=101 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image016.png")"></td>
                        </tr>

                        <tr>
                            <td>
                                <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                    Hết tuổi đi làm ………. 3<span style='font-family:"MS Gothic"'>☐</span>
                                </span>
                            </td>
                            <td><img width=62 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image015.png")" /></td>
                            <td></td>
                            <td></td>
                        </tr>
                    </table>
                </p>
            </td>
        </tr>
        <tr>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        b.
                        Thông tin công việc
                    </span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nghề
                        nghiệp: ………………………………………………………………………….
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Cơ
                        quan, nơi làm việc: ……………………………………………………………….
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>…………………………………………………………………………………………..</span>
                </p>
            </td>
        </tr>
        <tr style='height:14.35pt'>
            <td width="5%" rowspan=4 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:14.35pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>18.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:14.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Thông
                        tin về y tế
                    </span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:14.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
        </tr>
        <tr style='height:18.15pt'>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.15pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>a. Nhóm máu cư dân</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:18.15pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nhóm
                        A …1<span style='font-family:"MS Gothic"'>☐</span>    Nhóm B …2<span style='font-family:"MS Gothic"'>☐</span>          Nhóm AB …3<span style='font-family:"MS Gothic"'>☐</span>      Nhóm O …4<span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:12.75pt'>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:12.75pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>b. Bệnh hiểm nghèo</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:12.75pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>………………………………………………………………………………..</span>
                </p>
            </td>
        </tr>
        <tr style='height:22.5pt'>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:22.5pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>c. Tình trạng khuyết tật</span>
                </p>
            </td>
            <td width="31%" colspan=3 valign=top style='width:31.88%;border:none;
  border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:22.5pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        @if (resident["DISABILITY_STATUS_NAME"] != null && resident["DISABILITY_STATUS_NAME"].ToString().Length > 0)
                        {
                            <b>@resident["DISABILITY_STATUS_NAME"]</b>
                        }
                        else
                        { <b>NA</b>}
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh
                        sửa]
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật vận động …...1 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật nghe, nói……2 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật nhìn …………3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="38%" colspan=4 valign=top style='width:38.88%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:22.5pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật thần kinh, tâm thần……4 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật trí tuệ………………...…5 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khuyết
                        tật khác ……………………6 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:25.35pt'>
            <td width="5%" rowspan=4 valign=top style='width:5.64%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:25.35pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:center;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>19.</span>
                </p>
            </td>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:25.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Thông
                        tin về Bảo hiểm
                    </span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:25.35pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
        </tr>
        <tr style='height:25.3pt'>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>a. Bảo hiểm xã hội</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Có
                        tham gia ……1 <span style='font-family:"MS Gothic"'>☐</span>      Không tham
                        gia …..2 <span style='font-family:"MS Gothic"'>☐</span>      KXĐ……3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:25.3pt'>
            <td width="23%" valign=top style='width:23.6%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>b. Bảo hiểm thất nghiệp</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Có
                        tham gia ……1 <span style='font-family:"MS Gothic"'>☐</span>      Không tham
                        gia …..2 <span style='font-family:"MS Gothic"'>☐</span>      KXĐ……3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:25.3pt'>
            <td width="23%" valign=top style='width:23.6%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;text-align:right;
  line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:
  "Arial","sans-serif"'>c. Bảo hiểm y tế</span>
                </p>
            </td>
            <td width="70%" colspan=7 valign=top style='width:70.76%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:25.3pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  0in;margin-left:0in;margin-bottom:.0001pt;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Có
                        tham gia ……1 <span style='font-family:"MS Gothic"'>☐</span>      Không tham
                        gia …..2 <span style='font-family:"MS Gothic"'>☐</span>      KXĐ……3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
    </table>    
    <p style="text-align:right; padding-top:120px;">@{++intPage;} Trang @intPage</p>
    
    <p style="page-break-after:always;"></p>
    <p style="padding-top:20px;"></p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0
           style='border-collapse:collapse;border:none;width:100%; display:none;'>
        <tr>
            <td width=340 valign=top style='width:254.85pt;border:dotted windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  3.0pt;margin-left:0in;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>
                            HỘ ĐIỀU TRA SỐ: @hcode
                        </span>
                    </b>
                </p>
            </td>
            <td width=340 valign=top style='width:254.9pt;border:dotted windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=right style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:right;line-height:normal'>
                    <b>
                        <span style='font-family:"Arial","sans-serif"'>CÔNG DÂN SỐ: @sttt</span>
                    </b>
                </p>
            </td>
        </tr>
    </table>

    <p class=MsoNormal><span style='font-size:1.0pt;line-height:107%; display:none;'>&nbsp;</span></p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0 width="100%"
           style='width:100.0%;border-collapse:collapse;border:none'>
        <tr>
            <td width="5%" valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                    </b>
                </p>
            </td>
            <td width="95%" colspan=3 valign=top style='width:95.0%;border:solid windowtext 1.0pt;
  border-left:none;background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  3.0pt;margin-left:0in;line-height:normal'>
                    <b>
                        <span style='font-size:10.0pt;
  font-family:"Arial","sans-serif"'>THÔNG TIN QUAN HỆ GIA ĐÌNH</span>
                    </b>
                </p>
            </td>
        </tr>
        <tr style='height:20.95pt'>
            <td width="5%" rowspan=5 valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>20.</span>
                </p>
            </td>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Thông tin về cha</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Họ tên: <b>
                            @if (resident["FATHER_LNAME"] != null)
                            {
                                @resident["FATHER_LNAME"].ToString().ToUpper()
                            }
                            @if (resident["FATHER_MNAME"] != null)
                            {
                                @resident["FATHER_MNAME"].ToString().ToUpper()
                            }
                            @if (resident["FATHER_FNAME"] != null)
                            {
                                @resident["FATHER_FNAME"].ToString().ToUpper()
                            }
                        </b>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh sửa]: …………………………………………………………………
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:18.95pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.95pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày tháng năm sinh cha
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:18.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            @{
                            string fatherBT = resident["FATHER_DOB"].ToString();
                            string fatherYear = "";
                            string fatherMonth = "";
                            string fatherDay = "";
                            if (fatherBT.Length == 8)
                            {
                                fatherYear = fatherBT.Substring(0, 4);
                                fatherMonth = fatherBT.Substring(4, 2);
                                fatherDay = fatherBT.Substring(6, 2);
                            }
                            }
                            @if (fatherYear.Length > 0)
                            {
                                <span>@fatherDay/@fatherMonth/@fatherYear</span>
                            }

                        </span>
                    </b><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        @if (fatherYear.Length > 0)
                        {
                            <span>[Chỉnh sửa]</span>
                        }
                        Ngày sinh _ _ Tháng sinh _ _ Năm sinh _ _ _ _
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:12.85pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:12.85pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân
                        tộc cha
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:12.85pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Kinh….…….1<span style='font-family:"MS Gothic"'>☐</span>     Dân tộc khác:……………………
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:11.8pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:11.8pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quốc tịch cha
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:11.8pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Việt Nam …. 1<span style='font-family:"MS Gothic"'>☐</span>     Quốc tịch khác:………………….
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:18.45pt'>
            <td width="29%" valign=top style='width:29.72%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.45pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        CMND cha
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.45pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        __
                        __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:20.95pt'>
            <td width="5%" rowspan=5 valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>21.</span>
                </p>
            </td>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Thông tin về mẹ</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:20.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Họ tên: <b>
                            @if (resident["MOTHER_LNAME"] != null)
                            {
                                @resident["MOTHER_LNAME"].ToString().ToUpper()
                            }
                            @if (resident["MOTHER_MNAME"] != null)
                            {
                                @resident["MOTHER_MNAME"].ToString().ToUpper()
                            }
                            @if (resident["MOTHER_FNAME"] != null)
                            {
                                @resident["MOTHER_FNAME"].ToString().ToUpper()
                            }
                            
                        </b>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        [Chỉnh
                        sửa]: …………………………………………………………………
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:18.95pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.95pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày tháng năm sinh mẹ
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:18.95pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                            @{
                            string motherBT = resident["MOTHER_DOB"].ToString();
                            string motherYear = "";
                            string motherMonth = "";
                            string motherDay = "";
                            if (motherBT.Length == 8)
                            {
                                motherYear = motherBT.Substring(0, 4);
                                motherMonth = motherBT.Substring(4, 2);
                                motherDay = motherBT.Substring(6, 2);
                            }
                            }
                            @if (motherYear.Length > 0)
                            {
                                <span>@motherDay/@motherMonth/@motherYear</span>
                            }
                        </span>
                    </b><span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        @if (motherYear.Length > 0)
                        {
                            <span>[Chỉnh sửa]</span>
                        }
                        Ngày sinh _ _ Tháng sinh _ _ Năm sinh _ _ _ _
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:12.85pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:12.85pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân
                        tộc mẹ
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:12.85pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Kinh
                        ….……..1<span style='font-family:"MS Gothic"'>☐</span>     Dân tộc khác:
                        ……………………
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:11.8pt'>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:11.8pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Quốc
                        tịch mẹ
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:11.8pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Việt
                        Nam …. 1<span style='font-family:"MS Gothic"'>☐</span>     Quốc tịch khác:
                        ………………….
                    </span>
                </p>
            </td>
        </tr>
        <tr style='height:18.45pt'>
            <td width="29%" valign=top style='width:29.72%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.45pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        CMND mẹ
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt;height:18.45pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        __
                        __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.0%;border-top:none;border-left:solid windowtext 1.0pt;
  border-bottom:none;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>21.</span>
                </p>
            </td>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>a. Người đại diện hợp pháp</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>

                <table cellpadding="0" cellspacing="0">
                    <tr>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                                Có ….…….1<span style='font-family:"MS Gothic"'>☐</span>
                            </span>
                        </td>
                        <td><img width=75 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image018.png")" /></td>
                        <td>
                            <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Không ….…….2<span style='font-family:"MS Gothic"'>☐</span></span>
                        </td>
                        <td><img width=75 height=28 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image017.png")"></td>
                    </tr>
                </table>

            </td>
        </tr>
        <tr>
            <td width="5%" rowspan=2 valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        b.
                        Loại người đại diện hợp pháp
                    </span>
                </p>
            </td>
            <td width="29%" colspan=1 valign=top style='width:29.84%;border:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Người
                        giám hộ ……….1<span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Cha,
                        mẹ nuôi …………2<span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="35%" colspan=1 valign=top style='width:35.44%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Đại
                        diện cơ sở nuôi dưỡng …..3<span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khác
                        ………………….………….4<span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="29%" valign=top style='width:29.72%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        c. Thông tin về người đại
                        diện hợp pháp
                    </span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Họ
                        và tên: …………………………………………………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        sinh __ __ Tháng sinh __ __ Năm sinh __ __ __ __
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân tộc:       Kinh ….…….1<span style='font-family:"MS Gothic"'>☐</span>      Dân tộc khác: …………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        Quốc tịch:    Việt Nam .… 1<span style='font-family:"MS Gothic"'>☐</span>      Quốc tịch khác: ………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        CMND: __ __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" rowspan=4 valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>22.</span>
                </p>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>a. Tình trạng hôn nhân</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Độc
                        thân …1 <span style='font-family:"MS Gothic"'>☐</span>   Đang kết hôn …..2<span style='font-family:"MS Gothic"'>☐</span>     Ly hôn….…3<span style='font-family:"MS Gothic"'>☐</span>      KXĐ…4<span style='font-family:
  "MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  0.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <img width=62 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image019.png")" style="margin-left:28px;">
                    <img width=84 height=27 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image020.png")" style="margin-left:48px;">
                    <img width=87 height=29 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image021.png")" style="margin-left:20px;">
                    <img width=62 height=26 src="@Url.Content("~/Content/PrintHouseHold/chuan_files/image022.png")" style="margin-left:20px;">
                ></p>
            </td>
        </tr>
        <tr>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>b. Thông tin vợ/chồng</span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Họ
                        và tên vợ/chồng: ……………………………………………………………
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        sinh __ __ Tháng sinh __ __ Năm sinh __ __ __ __
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        Dân tộc:       Kinh ….…….1<span style='font-family:"MS Gothic"'>☐</span>      Dân tộc khác: …………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>
                        Quốc tịch:    Việt Nam .… 1<span style='font-family:"MS Gothic"'>☐</span>      Quốc tịch khác: ………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        CMND: __ __ __ __ __ __ __ __ __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="29%" valign=top style='width:29.72%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>c. Thông tin giấy kết hôn</span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số/quyển
                        số Giấy chứng nhận đăng ký kết hôn: …………………………
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        đăng ký kết hôn: ngày _ _ tháng_ _ năm_ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nơi
                        đăng ký kết hôn:  Xã: ………………………………………………………
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Huyện:
                        ………………..………………….Tỉnh: ………….............................
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="29%" valign=top style='width:29.72%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>d. Thông tin giấy ly hôn</span>
                </p>
            </td>
            <td width="65%" colspan=2 valign=top style='width:65.28%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Số
                        quyết định ly hôn: ………………………………………………………..
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        quyết định ly hôn: ngày _ _ tháng_ _ năm_ _ _ _
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Cấp
                        Toà án công nhận: TW ....01 <span style='font-family:"MS Gothic"'>☐</span>   Tỉnh....02<span style='font-family:"MS Gothic"'>☐</span>   Huyện....03 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Huyện:
                        ………..………………….Tỉnh: …………......................................
                    </span>
                </p>
            </td>
        </tr>
    </table>

    <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:normal'>
        <span style='font-size:6.0pt'>&nbsp;</span>
    </p>

    <table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0 width="100%"
           style='width:100.0%;border-collapse:collapse;border:none'>
        <tr>
            <td width="5%" valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:3.0pt;margin-right:0in;
  margin-bottom:3.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <b>
                        <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>&nbsp;</span>
                    </b>
                </p>
            </td>
            <td width="95%" colspan=3 valign=top style='width:95.0%;border:solid windowtext 1.0pt;
  border-left:none;background:#D9D9D9;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:3.0pt;margin-right:0in;margin-bottom:
  3.0pt;margin-left:0in;line-height:normal'>
                    <b>
                        <span style='font-size:10.0pt;
  font-family:"Arial","sans-serif"'>THÔNG TIN CHẾT/MẤT TÍCH</span>
                    </b>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" rowspan=2 valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>23.</span>
                </p>
            </td>
            <td width="24%" valign=top style='width:24.14%;border:none;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Ngày chết</span>
                </p>
            </td>
            <td width="70%" colspan=2 valign=top style='width:70.86%;border:none;
  border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày
                        __ __ Tháng __ __ Năm __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="24%" valign=top style='width:24.14%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=right style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:right;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Nguyên
                        nhân chết
                    </span>
                </p>
            </td>
            <td width="35%" valign=top style='width:35.42%;border:none;border-bottom:
  solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Bệnh
                        tật ………………..…...1 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Tai
                        nạn lao động …………..2 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Tai
                        nạn giao thông …….…..3 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
            <td width="35%" valign=top style='width:35.44%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Tai
                        nạn khác ………….…. 1 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Khác
                        ………..………….….4 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        KXĐ
                        ………..………….…. 5 <span style='font-family:"MS Gothic"'>☐</span>
                    </span>
                </p>
            </td>
        </tr>
        <tr>
            <td width="5%" valign=top style='width:5.0%;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal align=center style='margin-top:1.0pt;margin-right:0in;
  margin-bottom:1.0pt;margin-left:0in;text-align:center;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>24.</span>
                </p>
            </td>
            <td width="24%" valign=top style='width:24.14%;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;line-height:120%'>
                    <span style='font-size:10.0pt;
  line-height:120%;font-family:"Arial","sans-serif"'>Ngày mất tích</span>
                </p>
            </td>
            <td width="70%" colspan=2 valign=top style='width:70.86%;border-top:none;
  border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
                <p class=MsoNormal style='margin-top:1.0pt;margin-right:0in;margin-bottom:
  1.0pt;margin-left:0in;text-align:justify;line-height:120%'>
                    <span style='font-size:10.0pt;line-height:120%;font-family:"Arial","sans-serif"'>
                        Ngày __ __ Tháng __ __ Năm __ __ __ __
                    </span>
                </p>
            </td>
        </tr>
    </table>
    <p style="text-align:right;">@{++intPage;} Trang @intPage</p>
}
